Form 990 for tax year 2023
Filed by FROEDTERT WEST BEND HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $1,438,539
- Total expenses
- $553,395
- Contributions and grants received
- $248,273
- Grants paid
- $297,644
- Program service revenue
- $0
- Investment income
- $1,183,817
- Other revenue
- $6,449
- Total assets, end of year
- $25,011,797
- Total liabilities, end of year
- $355,819
- Net assets or fund balances, end of year
- $24,655,978
- Program services expenses (Part IX)
- $304,997
- Management and general expenses
- $30,118
- Fundraising expenses
- $218,280
- Program service expenses (Part III)
- $304,997
Program services were 55.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$117,540
-
1d · Related organizations
$0
-
1e · Government grants (contributions)
$0
-
1f · All other contributions, gifts and grants
$130,733
-
1g · Noncash contributions included above
$15,390
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $682,167 · excluded $682,167
-
6c · Rental income or loss
real property $0 · personal property $0
-
7a · Gross sales of assets other than inventory
securities $21,222,016
-
7b · Less cost or other basis and sales expenses
securities $20,720,366
-
7c · Gain or loss
securities $501,650 · other assets $0
-
7d · Net gain or loss
total $501,650 · excluded $501,650
-
8a · Fundraising events: gross income
$10,834
-
8a · Fundraising events: contributions included on line 1c
$117,540
-
8b · Fundraising events: direct expenses
$4,385
-
8c · Net income from fundraising events
total $6,449 · excluded $6,449
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $238,644 · program services $238,644
-
2 · Grants to domestic individuals
total $59,000 · program services $59,000
-
7 · Other salaries and wages
total $175,690 · management and general $17,569 · fundraising $158,121
-
9 · Other employee benefits
total $12,644 · management and general $1,264 · fundraising $11,380
-
11f · Fees: investment management
total $2,375 · management and general $2,375
-
11g · Fees: other
total $0 · program services $0 · management and general $0 · fundraising $0
-
13 · Office expenses
total $3,930 · management and general $393 · fundraising $3,537
-
24a · Other expenses: HOSPITAL SUPPORT
total $28,297 · management and general $4,310 · fundraising $23,987
-
24b · Other expenses: PRINTING & PUBLICATIONS
total $13,577 · management and general $1,358 · fundraising $12,219
-
24c · Other expenses: ALL OTHER EXPENSES
total $9,198 · program services $7,353 · management and general $1,845
-
24d · Other expenses: MINOR EQUIPMENT
total $5,656 · management and general $565 · fundraising $5,091
-
24e · All other expenses
total $4,384 · program services $0 · management and general $439 · fundraising $3,945
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $251,578 · end of year $256,183
-
3 · Pledges and grants receivable
beginning of year $21,862 · end of year $20,766
-
4 · Accounts receivable
beginning of year $800 · end of year $0
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$27,248
-
10b · Land, buildings and equipment: accumulated depreciation
$27,248
-
10c · Land, buildings and equipment, net
end of year $0
-
11 · Investments: publicly traded securities
beginning of year $23,056,540 · end of year $24,734,848
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
end of year $0
-
25 · Other liabilities
beginning of year $402,357 · end of year $355,819
-
27 · Net assets without donor restrictions
beginning of year $22,507,946 · end of year $24,235,501
-
28 · Net assets with donor restrictions
beginning of year $420,477 · end of year $420,477
Mission and programs · 2023
Mission
TO IMPROVE THE HEALTH, WELLNESS AND EDUCATION OF THE COMMUNITY THROUGH THE DEVELOPMENT AND STEWARDSHIP OF PHILANTHROPIC RESOURCES IN SUPPORT OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND.
-
FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC., IS A NONSTOCK, NONPROFIT CORPORATION THAT RECEIVES GIFTS AND BEQUESTS, RAISES FUNDS FOR SPECIFIC PROJECTS OR NEEDS, ADMINISTERS AND INVESTS FUNDS, AND DISBURSES PAYMENTS TO FURTHER THE MISSION AND PURPOSES OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND.
Expenses $245,997 · Grants $238,644
-
FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. ISSUES SCHOLARSHIPS EACH YEAR FROM MONEY DONATED TO THE FOUNDATION FROM AN OUTSIDE DONOR. CURRENT YEAR SCHOLARSHIP EXPENSES TOTALED $59,000.
Expenses $59,000 · Grants $59,000
As filed on the 2023 return.
Listed in Part VII
-
Allen Ericson
Director & SJH President
- Total calculated
- $1,049,080
- From this org
- $0
- From related orgs
- $875,006
- Other
- $174,074
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $564,706 related
- Bonus
- $0 + $142,952 related
- Other
- $0 + $167,348 related
- Deferred
- $0 + $137,340 related
- Nontaxable benefits
- $0 + $36,734 related
- Filer's total
- $0 + $1,049,080 related
-
Amy Dahlberg
Director & BOD V.Chair & Secr
- Total calculated
- $0
- Hours/week
- 1
-
Dan Miller
Director & BOD Chair
- Total calculated
- $0
- Hours/week
- 1
-
Nooriya Farheen
Treasurer (Start Jul23)
- Total calculated
- $144,191
- From this org
- $0
- From related orgs
- $130,421
- Other
- $13,770
- Hours/week
- 1 + 49 related
-
Austin Smith
Director
- Total calculated
- $0
- Hours/week
- 1
-
Catherine Jacobson
Director (Start Jul23) & FTCH President/CEO
- Total calculated
- $6,191,269
- From this org
- $0
- From related orgs
- $5,872,993
- Other
- $318,276
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $1,711,053 related
- Bonus
- $0 + $1,915,129 related
- Other
- $0 + $2,246,811 related
- Deferred
- $0 + $280,978 related
- Nontaxable benefits
- $0 + $37,298 related
- Filer's total
- $0 + $6,191,269 related
-
Chad Feltz
Director
- Total calculated
- $0
- Hours/week
- 1
-
Chris Chlupp
Director
- Total calculated
- $0
- Hours/week
- 1
-
Gary Herdrich
Director
- Total calculated
- $0
- Hours/week
- 1
-
Jacci Gambucci
Director
- Total calculated
- $0
- Hours/week
- 1
-
John Breuer
Director
- Total calculated
- $0
- Hours/week
- 1
-
Peter Rettler
Director (Start Jul23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Tom Zuern
Director
- Total calculated
- $0
- Hours/week
- 1
-
Troy Hanson
Director
- Total calculated
- $0
- Hours/week
- 1
-
Michael Malzewski
Former - Officer (Treas)
- Total calculated
- $402,491
- From this org
- $0
- From related orgs
- $375,448
- Other
- $27,043
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $178,938 related
- Bonus
- $0 + $28,064 related
- Other
- $0 + $168,446 related
- Deferred
- $0 + $19,155 related
- Nontaxable benefits
- $0 + $7,888 related
- Filer's total
- $0 + $402,491 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 4a Severance or change-of-control payment
- SEVERANCE: MALZEWSKI, MICHAEL - $141,825
- Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
- 457(F) DISTRIBUTIONS: ERICSON, ALLEN - $139,594 JACOBSON, CATHERINE - $2,074,559 457(F) PLAN PARTICIPANTS: ERICSON, ALLEN JACOBSON, CATHERINE NON-QUALIFIED DISTRIBUTIONS: JACOBSON, CATHERINE - $167,475 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) NON-QUALIFIED PARTICIPANTS: JACOBSON, CATHERINE
- Schedule J, Part I, Line 3
- THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED BY THE BOARD CHAIR ANNUALLY. THE BOARD OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. APPROVES ANY SALARY AND/OR BENEFIT CHANGES. SALARIES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FROEDTERT THEDACARE HEALTH, INC. (A RELATED ORGANIZATION) BOARD OF DIRECTORS, UTILIZING VARIOUS COMPENSATION STUDIES AND COMPARATIVE DATA.
- Schedule J, Part I, Line 7
- BONUS COMPENSATION IS PAID BASED UPON ATTAINMENT OF SPECIFIC GOALS RELATED TO THE ORGANIZATION'S STRATEGY, SERVICE, QUALITY, AND FINANCIAL STRENGTH. THE AMOUNT OF COMPENSATION IS CALCULATED USING SPECIFIED PERCENTAGES OF BASE SALARY FOR ACHIEVEMENT OF PARTICULAR GOAL LEVELS. HOWEVER, THE FROEDTERT THEDACARE HEALTH SYSTEM BOARD COMMITTEE WHICH ADMINISTERS THE BONUS COMPENSATION PROGRAM HAS DISCRETION OVER WHETHER TO PAY THE BONUS IN ANY GIVEN YEAR OR TO AMEND, CHANGE, OR TERMINATE THE PROGRAM AT ANY TIME.
- Schedule J, Part II, Column (B)(ii)
- BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
- Schedule J, Part II, Column (B)(iii)
- OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$75,000
HEALTHY SMILES CHANGE LIVES
-
CASA GUADALUPE EDUCATION CENTER
$40,000
HEALTHY LATINOS, HEALTHY FUTURES
-
$32,000
INDIVIDUALIZED INTERVENTION PROGRAMS
-
$31,644
DENTAL CARE ACCESS FOR LOW-INCOME WASHINGTON COUNTY CHILDREN
-
HEALTHY AGING IN PLACE
-
$20,000
HEALTH SERVICES AND HOUSING FOR HOMELESS
-
THE YOUTH AND FAMILY PROJECT INC
$15,000
CROSSROADS YOUTH PROGRAM OUTREACH
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
FROEDTERT THEDACARE HEALTH INC
501(c)(3) · MGMT SERVICES · WI
Directly controlled by NA
-
ST JOSEPH'S COMMUNITY HOSPITAL-WEST BEND
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
FROEDTERT HOSPITAL FOUNDATION INC
501(c)(3) · HEALTH PROMO · WI
Directly controlled by FMLH
-
FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION INC
501(c)(3) · HEALTH PROMO · WI
Directly controlled by CMH
-
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
COMMUNITY MEMORIAL HOSPITAL OF MF INC
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
COMMUNITY OUTPATIENT HEALTH SERVICES
501(c)(3) · O/P SERVICES · WI
Directly controlled by CMH
-
FH ENTERPRISE SERVICES HOLDINGS INC
501(c)(3) · HLTHCARE SRVS · WI
Directly controlled by FTCH INC
-
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - NEW LONDON INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - WAUPACA INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - SHAWANO INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - BERLIN INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - WILD ROSE INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE FAMILY OF FOUNDATIONS INC
501(c)(3) · FOUNDATION · WI
Directly controlled by THEDACARE INC
-
501(c)(3) · HEALTHCARE · WI
Directly controlled by FTCH INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202541359349304149
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